Chapter 491 [491] Pain Relief Injections Cannot Be Given Casually
If it is essential hypertension, in addition to lowering blood pressure, it is also necessary to prevent complications caused by hypertension. If it is the latter secondary hypertension, you must first find out the cause of the hypertension before you can lower your blood pressure naturally. Therefore, it is not that casually giving patients antihypertensive drugs can solve the problem.
The patient reported that he had no past history of high blood pressure, did he not check it or did he really not?
The current patient's blood pressure is not very high. Although it is much higher than the normal value, clinically, the truly terrible high blood pressure can soar to more than 200. The important index diastolic blood pressure is not particularly high in patients, and it does not exceed the normal value.
It is necessary to rule out possible complications caused by high blood pressure, because this is the most obvious abnormal indicator in patients.
Heart examination The electrocardiogram is fine for the time being, but the three items of myocardial infarction are not checked, and a laboratory test sheet is needed to check. From the perspective of the patient's body size, hyperlipidemia is indispensable. These need to be billed for inspection. Another dire complication of hypertension is cerebrovascular disease.
When the patient is conscious, the doctor can answer questions.
"Can you tell me exactly where you are hurting?" Xie Wanying approached the patient with the medical records and asked for the teacher.
The male patient obviously heard her question very clearly. He pointed to the place on his chest, as if he was too painful to speak.
"Should I give him a painkiller injection? I think he's going to be in so much pain that he's half dead." Seeing his younger brother's pain, the patient's sister was very worried.
The patient is in pain today, his lips are a little white, his face is sweating non-stop, his breath is weak and he is panting.
"Painkilling injections can't be hit casually. If you do, the pain caused by the specific cause will be covered up by the effect of the painkilling injection. Pain is a signal for help when a person has a problem with the body. Using painkilling injections to cover up unexplained pain, It will affect the doctor's judgment on his condition and lead to misjudgment, and the consequences will be more serious." The family members have this request, and Xie Wanying explained to the patient's family members.
"What should I do if he is in pain like this? It will hurt him to death." The patient's elder sister only knew that her brother was in pain and asked her for help, and she was very anxious.
"Don't be nervous." Xie Wanying reassured her, "Find out what's causing it first, and solve the cause of his pain without using painkillers. Naturally, he won't be in pain anymore."
"Your doctor hasten to investigate for him, and we can spend as much as we want." The patient's family said.
This is not a question of money. Some diseases are not easy to judge. If money can solve this problem, it would not be said that some rich people may not be able to find out what is wrong with them even after spending a lot of money.
After listening to the patient's heart and lungs, Sun Yubo turned to look at the student, and found that she didn't even take out the stethoscope: Strange? Isn't this student always active in physical examination?
Because at a glance, Xie Wanying didn't think the patient had heart and lung problems. If there is a problem with the lungs, there must be a problem with breathing. This patient didn't have it, at most he inhaled and gasped because of the pain. If it is the heart, the pain in the heart is like suffocation, and it is not this way of breathing.
Knowing that the student had good eyesight, Sun Yubo withdrew his stethoscope. Anyway, after listening to it for a long time, he didn't hear any heart and lung problems, so he said to the student, "Go and get a CT order."
It's not the heart and lungs, but the digestive tract must be considered.
As for how to write this inspection application form, Xie Wanying just thought about it in her heart, went to the nurse's station and got a blank form, wrote it in a while, and handed it to the teacher for review.